Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.34 / $266.32 / $492.97	Facility		$208.34	$266.32	$492.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.34 / $294.70 / $385.83	Professional		$208.34	$294.70	$385.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $611.97 / $624.21 / $1,223.94	Facility		$611.97	$624.21	$1,223.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.37 / $339.37 / $948.48	Professional		$339.37	$339.37	$948.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $474.18 / $509.87 / $509.87	Facility		$474.18	$509.87	$509.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $509.87 / $509.87 / $509.87	Professional		$509.87	$509.87	$509.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.04 / $419.04 / $419.04	Facility		$419.04	$419.04	$419.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $305.89 / $446.71	Professional		$305.89	$305.89	$446.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $611.97 / $1,376.93	Facility		$319.00	$611.97	$1,376.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $458.98 / $1,101.55	Professional		$316.00	$458.98	$1,101.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $314.87 / $314.87 / $314.87	Facility		$314.87	$314.87	$314.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.87 / $353.91 / $438.85	Professional		$314.87	$353.91	$438.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $419.04 / $419.04 / $611.97	Facility		$419.04	$419.04	$611.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $364.60 / $825.01	Professional		$305.89	$364.60	$825.01
United Facility/Professional Professional Modifier Low / Median / High Price $203.54 / $316.08 / $558.07	Professional		$203.54	$316.08	$558.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $353.91 / $353.91 / $382.35	Facility		$353.91	$353.91	$382.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $314.87 / $353.91 / $376.03	Professional		$314.87	$353.91	$376.03